Workshop on Chronic Pulmonary Hyperinflation" held in Montescano (Pavia) on November 18-19, 1988"--Ser. title page.
Basic Mechanisms --;1. Distribution of Hyperinflation in a General Population --;2. Pathology and Biochemical Basis of Chronic Pulmonary Hyperinflation --;3. Hyperinflation and Trapped Gas in Chronic Airflow Limitation --;4. Effects of Airways Resistance on Lung Inflation --;5. Alveolar Gas Mixing in Chronic Pulmonary Hyperinflation --;6. Acute Pulmonary Hyperinflation and Pulmonary Edema --;7. Is Pulmonary Hyperinflation a Feature in Advancing Interstitial Lung Disease? --;Physiopathological Effects --;8. Effects of Lung Hyperinflation on Pulmonary Circulation --;9. Effects of Positive End-Expiratory Pressure (PEEP) on Bronchial Blood Flow --;10. Hyperinflation due to Tonic Activity in Inspiratory Muscles --;11. Effects of Hyperinflation on Respiratory Muscle Function --;12. The Effect of Lung Hyperinflation on Inspiratory Muscle Function --;13. Pattern of Systemic Venous Return during Negative Pressure Ventilation with Pneumowrap: A Pulsed Wave Doppler Study in Patients with COPD --;14. Phosphorus Depletion in Limb and Respiratory Muscles of Patients with Chronic Obstructive Pulmonary Disease (COPD): A Preliminary Report --;15. Mechanisms of Dyspnea --;Therapeutic Approach --;16. Pharmacological Management of Pulmonary Hyperinflation --;17. Mechanical Ventilation and Hyperinflation --;18. Chest Physiotherapy and Hyperinflation --;19. Negative Pressure Ventilation as a Treatment Modality in Patients with Hyperinflation --;20. Exercise Training Strategies for COPD Patients --;21. Respiratory Muscle Training in Health and Disease.
The focus of this book is on chronic pulmonary hyperinflation: its causes, consequences and treatment. It is based on the workshop held in Montescano, Italy, in November 1989. The contributors were invited to attend the workshop on the basis of the excellence of their past contributions to the literature and their original views and experience in this field. The beginning chapters deal with the basic mechanisms leading to alveolar wall disruption, with increase in airways resistance and air trapping, and are followed by chapters exploring the effects of hyperinflation and gas mixing on lung and bronchial circulation, and on venous returns to the heart, and its role in pulmonary edema. Subsequent chapters investigate how chronic and acute lung hyperinflation can affect inspiratory muscle function, and how tonic activity of these muscles can in turn be responsible for hyperinflation. The final chapters focus on therapeutic aspects and include such topics as mechanical ventilation, bronchodilatation physiotherapy, and respiratory muscle training in patients with chronic hyperinflation.